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Author Notes:

Address correspondence to Prof. Howard at Department of Health Policy and Management, Rollins School of Public Health, 1518 Clifton Road N.E., Atlanta, GA 30322. Email: david.howard@emory.edu


Research Funding:

Support for this study came from the National Institute of Diabetes and Digestive and Kidney Diseases of the National Institutes of Health (grant no. NIDDK/NIH DK067611).

Do Report Cards Influence Hospital Choice? The Case of Kidney Transplantation


Journal Title:



Volume 43, Number 2


, Pages 150-159

Type of Work:

Article | Final Publisher PDF


The national program to report hospital-level outcomes for transplantation has been in place since 1991, yet it has not been addressed in the existing literature on hospital report cards. We study the impact of reported outcomes on demand at kidney transplant centers. Using a negative binomial regression with hospital fixed effects, we estimate the number of patients choosing each center as a function of reported outcomes. Parameters are identified by the within-hospital variation in outcomes over five successive report cards. We find some evidence that report cards influence younger and college-educated patients, but overall report cards do not affect demand.

Copyright information:

© 2006, © SAGE Publications

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